MEDICARE: BROWARD MEDICAL SPECIALIST INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1598563132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROWARD MEDICAL SPECIALIST INC

Provider Business Mailing Address
First Line	:	2205 BAY DR
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-2912
Country	:	US
Telephone Number	:	754-234-0984
Fax Number	:	954-785-8333

Provider Business Practice Location Address
First Line	:	1600 N FEDERAL HWY
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-3229
Country	:	US
Telephone Number	:	754-234-0984
Fax Number	:	954-888-5656

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KIPRIANOS S ARMENAKIS
Credential	:	MD
Telephone Number	:	754-234-0984

Provider Enumeration Date	:	03/07/2025
Last Update Date	:	10/22/2025

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